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4
1
The 2019-2023 Strategy for UNU-IIGH, developed in
2018, built on UNU-IIGH’s strategic advantage and
position vis-à-vis the UN and global health ecosystem.
The Strategy set a goal to advance evidencebased policy on key issues related to sustainable
development and health and shifted the Instit
...
ute’s
body of work from investigator-driven global health
projects to three priority-driven, policy-relevant pillars
of work, each reflecting UNU-IIGH’s unique value
position.
When the COVID-19 pandemic hit in 2020, the
Institute adapted and reprioritised its areas of work
while continuing to deliver on the main strategic
objectives of translating evidence to policy, generating
policy-relevant analyses on gender and health, and
strengthening capacity for local decision making
especially in the Global South.
The new strategic plan encompasses four work packages:
1. Gender Equality and Intersectionality: through this work, we will aim to improve the quality of health care through a human-centred approach, by ensuring the health system is responsive to the needs of structurally excluded individuals and communities; and by advancing a positive and enabling environment for the frontline health workforce—e.g. addressing the experience of gender-based violence.
2. Power and Accountability: through this work, we will catalyse equitable shifts in power and address key accountability deficits that prevent the equitable and effective functioning of the global health system and prevent adequate responsiveness to the needs of states and populations in the Global South.
3. Digital Health Governance: through this work, we will address the colonial legacies and power asymmetries that negatively impact robust digital health governance, identify ways to strengthen health data governance with a particular focus on SRHR and promote diversity in technology design and development.
4. Climate Justice and Determinants of Health: through this work we will leverage UNU-IIGH's position within the UN and network of UNU institutes, network experts, practitioners, policy-makers, and academics to advance evidence-based policy on the different dimensions of the climate emergency and its impact on health.
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For thousands of years, humans have been using wildlife for commercial and subsistence purposes. Wildlife trade takes place at local, national and international levels, with different forms of wildlife, such as live animals, partly processed products and finished products. Wildlife is a vital source
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of safe and nutritious food, clothing, medicine, and other products, in addition to having religious and cultural value. Wildlife trade also contributes to livelihoods, income generation and overall economic development.
However, wildlife trade can have detrimental effects on species conservation, depleting natural resources, impoverishing biodiversity and degrading ecosystems (Morton et al., 2021). Wildlife trade, whether legal or illegal, regulated or unregulated, can pose threats to animal health and welfare. It also presents opportunities for zoonotic pathogens to spill over between wildlife and domestic animals, and for diseases to emerge with serious consequences for public or animal health and profound economic impacts (IPBES, 2020; Swift et al., 2007; Smith et al., 2009; Gortazar et al., 2014; Stephen, 2021; Stephen et al., 2022; FAO, 2020). The risk of pathogen spillover and disease emergence is amplified with increased interaction between humans, wildlife and domestic animals. The risk of pathogen spillover has also been exacerbated by climate change, intensified agriculture and livestock production, deforestation, and other land-use changes. Wildlife trade is also a risk to ecosystem biodiversity via the introduction of invasive species (Wikramanayake et al., 2021). Therefore, increased effort must be put into understanding the potential consequences of the wildlife trade, mapping and analysing the adjacent risks, and implementing strategies to manage those risks. Reducing wildlife-trade risks not only helps to limit disease but also minimises the negative effects of invasive species. Between 1960 and 2021, invasive alien species caused estimated cumulative damage of around 116 billion euros across 39 countries in the European Union alone, despite strict import regulations (Haubrock et al., 2021). The effect of invasive species is extremely apparent.
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Africa’s health sector is facing an unprecedented financing crisis, driven by a sharp decline of 70% in Official Development Assistance (ODA) from 2021 to 2025 and deep-rooted structural vulnerabilities. This collapse is placing immense pressure on Africa’s already fragile health systems as ODA
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is seen as the backbone of critical health programs: pandemic preparedness, maternal and child health services, disease control programs are all at
risk, threatening Sustainable Development Goal 3 and Universal Health Coverage. Compounding this is Africa’s spiraling debt, with countries expected to service USD 81 billion by 2025—surpassing anticipated external financing inflows—further eroding fiscal space for health investments. Level of domestic resources is low. TThe Abuja Declaration of 2001, a pivotal commitment made by African Union (AU) member states, aimed to reverse this trend by pledging to allocate at least 15% of national budgets to the health sector. However, more than two decades later, only three countries—Rwanda, Botswana, and Cabo Verde—have
consistently met or exceeded this target (WHO, 2023). In contrast, over 30 AU member states remain well below the 10% benchmark, with some allocating as little as 5–7% of their national budgets to health.
In addition, only 16 (29%) of African countries currently have updated versions of National Health Development Plan (NHDP) supported by a National Health Financing Plan (NHFP). These two documents play a critical role in driving internal resource mobilisation. At the same time, public health emergencies are surging, rising 41%—from 152 in 2022 to
213 in 2024—exposing severe under-resourcing of health infrastructure and workforce. Recurring outbreaks (Mpox, Ebola, cholera, measles, Marburg…) alongside effects of climate change and humanitarian crises in Eastern DRC, the Sahel, and Sudan, are overwhelming systems stretched by chronic underfunding. The situation is worsened by Africa’s heavy dependency with over 90% of vaccines, medicines, and diagnostics being externally sourced—leaving countries vulnerable to global supply chain shocks. Health worker shortages persist, with only 2.3 professionals
per 1,000 people (below the WHO’s recommended 4.45), and fewer than 30% of systems are digitized, undermining disease surveillance and early warning. Without decisive action, Africa CDC projects the continent could reverse two decades of health progress, face 2 to 4 million additional preventable deaths annually, and a heightened risk of a pandemic emerging from within. Furthermore, 39 million more
Africans could be pushed into poverty by 2030 due to intertwined health and economic shocks. This is not just a sectoral crisis—it is an existential threat to Africa’s political, social, and economic resilience, and global stability. In response, African leaders, under Africa CDC’s stewardship, are advancing a comprehensive three-pillar strategy centered on domestic resource mobilization, innovative financing, and blended finance.
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On Global Handwashing Day, WHO and UNICEF have released the first-ever global Guidelines on Hand Hygiene in Community Settings to support governments and practitioners in promoting effective hand hygiene outside health care – across households, public spaces and institutions. Framing hand hygiene
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as a public good and a government responsibility, the Guidelines translate evidence into ready-to-adopt actions that enable sustainable access to effective hygiene services. This will reduce diarrhoeal disease, acute respiratory infections and other preventable illnesses, strengthening routine public health where people live, work, visit and study, and emergency preparedness, including outbreaks like cholera.
Despite clear benefits, 1.7 billion people still lacked basic hand hygiene services at home in 2024, including 611 million with no facility at all. Meeting the 2030 target will require accelerated progress – about a doubling in the global rate, and much faster in specific settings (up to 11-fold in least-developed countries and 8-fold in fragile contexts). Hand hygiene remains one of the most cost-effective health investments, reducing diarrhoea by 30% and acute respiratory infections by 17%, with large, measurable gains for population health.
“Clean hands save lives, but results at scale require policy, financing and accountability,” said Dr Ruediger Krech, Director a.i, Department of Environment, Climate Change, One Health & Migration at the World Health Organization. “These Guidelines help countries move beyond fragmented projects to government-led systems that make soap, water, and conditions conducive to everyday hand hygiene the norm.”
“Children and young people pay the highest price when basic hygiene is out of reach,” said Cecilia Scharp, Director, Water Sanitation and Hygiene (WASH) Team, Programme Group, UNICEF. “These Guidelines provide practical steps to ensure facilities are accessible when they need to be – in homes, schools, markets, and transport hubs – so every child can learn, play and thrive with dignity.”
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Position Statement
En esta sección se puede acceder a las principales recomendaciones sobre: seguimiento de instrucciones de autoridades locales; lavado de manos con agua segura para evitar enfermedades; cuidado de documentos personales y medicamentos; salud mental ante situaciones críticas o de emergencia; evacuaci
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ón (regreso a casa); cuidado de las mascotas.
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recomendaciones frente a inundaciones
Recomendaciones frente a lluvias intensas
En esta sección vinculada al fenómeno climático de bajas temperaturas se puede acceder a las principales recomendaciones sobre: intoxicación por monóxido de carbono; calefacción segura en el hogar; cómo prevenir enfermedades respiratorias; vacunas.
En esta sección vinculada al fenómeno climático de altas temperaturas se puede acceder a las principales recomendaciones sobre: medidas de cuidado y golpe de calor.
En esta sección vinculada al fenómeno climático de incendios forestales se puede acceder a las principales recomendaciones sobre: ¿qué hacer frente a un evento de contaminación del aire? y ¿qué hacer en zonas de incendios forestales?
La idea de escribir un libro sobre el cambio climático y la salud, como quinto y último de esta serie a propósito de los 120 años que cumple la OPS, refleja la colaboración de la organización con los profesionales del país. Este libro intenta compilar una buena parte de la información cient
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fica e histórica disponible sobre temas de investigación realizados en Cuba relacionados con el impacto del cambio climático y los determinantes ambientales en la salud de la población, así como la colaboración de la OPS con ellos.
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El cambio climático afecta la salud humana a través de las condiciones meteorológicas extremas más frecuentes e intensas, el calor extremo, la contaminación atmosférica, la intensificación de las pandemias y los brotes de enfermedades, el aumento de las tasas de malnutrición por inseguridad
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alimentaria y la angustia.
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Divsion de migración y salud/división de migración, medio ambiente, cambio climatico y reducción de riesgos
El cambio climático está dando lugar a cada vez más violaciones del derecho a la vida y el derecho a la salud.
Los combustibles fósiles (carbón, petróleo y gas) son, con diferencia, los que más contribuyen al cambio climático mundial, ya que representan más del 75 % de las emisiones mundiales de gases de efecto invernadero y casi el 90 % de todas las emisiones de dióxido de carbono.
l cambio climático se refiere a los cambios a largo plazo de las temperaturas y los patrones climáticos. Estos cambios pueden ser naturales, debido a variaciones en la actividad solar o erupciones volcánicas grandes. Pero desde el siglo XIX, las actividades humanas han sido el principal motor del
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cambio climático, debido principalmente a la quema de combustibles fósiles como el carbón, el petróleo y el gas.
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El cambio climático ya está aquí. En la actualidad, alrededor de 3600 millones de personas (casi la mitad de la población mundial) son muy vulnerables a los efectos del cambio climático, desde las sequías, inundaciones y tormentas hasta el estrés térmico e inseguridad alimentaria y, mientras
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la temperatura global continúe subiendo, esa cifra seguirá en aumento.
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Le Profil de pays 2025 sur la santé et les changements climatiques en Haïti est une ressource récemment développée qui offre, pour la première fois, un aperçu clair et accessible de l’intersection entre les tendances climatiques et la santé publique dans le pays. Il synthétise les meilleu
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res données disponibles ainsi que les connaissances issues du terrain afin de montrer où les aléas climatiques affectent la santé, qui sont les populations les plus à risque, et quelles actions peuvent renforcer efficacement les services et sauver des vies.
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